Filing · f0165
Nebraska Total Care
Centene · Medicaid Managed Care · NE · CY2025
In 2025 this plan received 53,396 standard prior authorization requests and denied 24.2% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
24.2%
53,396 standard requests, 12,899 denied.
55.7% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 53,396 | 40,497 | 12,899 | 24.2% |
| Expedited | 1,253 | 907 | 346 | 27.6% |
| Extended review, approved | 32 | |||
Appeals of standard denials
| Appeals filed | 1,429 |
| Denials overturned | 796 |
| Overturn rate | 55.7% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 3.0 d |
| Expedited | 24.0 h | 24.0 h |